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NYC Department of Buildings
LAA Application Details
Premises: 65 BERGEN STREET BROOKLYN
BIN: 3001230    Block: 193    Lot: 31 LAA #: 310381627
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Printable (PDF) version of Permit
Last Action: SIGNED-OFF BY HSN - 02/14/2011 (I)
Pre-Filed: 12/01/2010 Approved: 12/06/2010 3:10 PM Expiration: 12/06/2011
  Electronically Filed: No
Work Description
  Location Information (Filed At)
House No(s): 65 Street Name: BERGEN STREET
Borough: BROOKLYN Block: 193 Lot: 31 BIN: 3001230 CB No: 302
Work on Floor(s): CEL
  Fee Assessment
Fee Structure: STANDARD
Estimated Cost:  $10,500.00
  Additional Information
Building Characteristics: Other
Landmark: No
  Applicant Information
Name: JOHN HLAD
Business Name: JOHN HLAD P & H CO., INC Business Phone: 718-768-0689
Business Address: 154 26TH STREET, BROOKLYN, NY 11232
License Type: MASTER PLUMBER
License Number: 000463
Applicant Insured By: TRAVELERS Insurance Expires: 09/30/2011
  Work Detail
  Plumbing: GAS EQUIPMENT/PIPING
  Proposed Work Summary:
DIRECT REPLACEMENT OF EXISTING GAS BOILER WITH A GAS BOILER USING EXISTING GASLINE AND EXISTING GAS METER. FLUE CONNECTED TO EXISTING CHIMNEY.  

Gas Boiler Data
QTY ITEM TRADE NAME MEA / AGENCY # MODEL # INPUT BTU OUTPUT BTU
1 BURNHAM 380E P210 299000 244000

Additional Gas Information
Meters:  1  CELLAR
Risers:  1  CELLAR
Gas Uses:   Heat   
  Asbestos Abatement Compliance
ACP5 Form filed with DOB

Owner: NA NA
65 BERGEN LC


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